Provider Demographics
NPI:1023675089
Name:MEYER, EMILY MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MARIE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GRAMMES
Mailing Address - Street 1:9362 TEDDY LN STE 202
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2871
Mailing Address - Country:US
Mailing Address - Phone:720-295-4890
Mailing Address - Fax:
Practice Address - Street 1:9362 TEDDY LN STE 202
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2871
Practice Address - Country:US
Practice Address - Phone:720-295-4890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0017866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health